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          How to calculate / analyze data CO Conclusion
          Minimum committee membership includes (if
          assigned): medical/dental, CFL, and safety petty
0.8       officer. Also recommended are: DAPA, Culinary
          Specialist, SUPPO, Senior Enlisted, Fit Boss, Fun
          Boss, Sexual Assaul

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                                               CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 2 -- as of 4 April 2012

                     A                        B          C       D           E                     F                                    G                                                               H

                                                                        Command
1

                                                                   PRIMARY UIC
2

                         Additional UICs rolled up in this command report
3

    Average Number of Staff (do not include members deployed away
                             from the command for most of the year) military = ___; civilian (NOT including contract staff) = ___
    How to calculate: Use your Military and Civilian (not contactor) workforce strength as Reserve Commands - please include all members assigned to the NOSC as "military", not just full time staff
           of 31 December. NOTE: You may apply to the Blue H Project Manager for a
      deviation from this population denominator if it is significantly unrepresentative of
                                                              your population for the year.
4

                                                             Commanding Officer
5

         Command mailing address (where your award will be mailed)
6

    Person responsible for this report (name, grade, position, phone,
                                                               e-mail)
7



                               Command-type - Please CHOOSE ONE:
               (surface ship / aircraft carrier / CNAF flying squadron /
            BSO-18 (BUMED) Non-MTF / reserve / other shore-based)

8
                                                            CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 3 -- as of 4 April 2012

                           A                              B            C        D            E                          F                                         G                                                                              H
                       Question                       Standard         Max     My      My CATEGORY              Source of Data                   How to calculate / analyze data                                                            Resources
                                                                      score   Points       Points

9
     Does your command have a written health and        yes=3           3                             command health promotion         CO Conclusion                                        OPNAVINST 6100.2A - Health Promotion -
     wellness promotion instruction?                                                       Policy /   committee                                                                             http://doni.daps.dla.mil/Directives/06000%20Medical%20and%20Dental%20Services/06-
                                                                                          Support /                                                                                         100%20General%20Physical%20Fitness/6100.2A.pdf
                                                                                            Risk
                                                                                        assessment:

                                                                                       Maximum score
10                                                                                           =
     Has your command established a health and          yes=6           6                   33       command health promotion          Minimum committee membership includes (if         OPNAVINST 6100.2A - Health Promotion -
     wellness promotion committee?                                                                   committee                         assigned): medical/dental, CFL, and safety petty  http://doni.daps.dla.mil/Directives/06000%20Medical%20and%20Dental%20Services/06-
                                                                                                                                       officer. Also recommended are: DAPA, Culinary     100%20General%20Physical%20Fitness/6100.2A.pdf
                                                                                                                                       Specialist, SUPPO, Senior Enlisted, Fit Boss, Fun
                                                                                                                                       Boss, Sexual Assault Victim Intervention Command
                                                                                                                                       Point of Contact, suicide prevention coordinator,
                                                                                                                                       Command Family Advocacy Representative (SFAR).

                                                                                                                                       CO conclusion

11
     Has the HP Coordinator been appointed in           yes=1           1                             command health promotion         CO conclusion                                        OPNAVINST 6100.2A - Health Promotion -
     writing?                                                                                         committee                                                                             http://doni.daps.dla.mil/Directives/06000%20Medical%20and%20Dental%20Services/06-
12                                                                                                                                                                                          100%20General%20Physical%20Fitness/6100.2A.pdf
     The command has a registered and active            yes=3           3                             Coalition of Sailors Against     The chapter must have sponsored a health, wellness CSADD Facebook page:
     CSADD Chapter                                                                                    Destructive Decisions            or safety event during the current calendar year and http://www.facebook.com/#!/pages/Coalition-of-Sailors-Against-Destructive-Decisions-CSADD/299642495316
                                                                                                                                       posted information about the event on the CSADD
                                                                                                                                       Facebook page.
                                                                                                                                       CSADD website is:
                                                                                                                                       http://www.npc.navy.mil under the "Support and
                                                                                                                                       Services"
13
     Has a command member been designated as         appointed=1        2                             command health promotion         CO conclusion                                        Navy Leaders' Guide for managing Personnel in Distress -
     the command Sexual Assault Victim                trained=1                                       committee and Training Officer                                                        http://www.nmcphc.med.navy.mil/Healthy_Living/Psychological_Health/Stress_Management/
     Intervention Command Point of Contact and
     completed initial training?                                                                                                                                                            OPNAV 1752.1A. http://doni.daps.dla.mil/Directives/01000%20Military%20Personnel%20Support/01-
14                                                                                      My points =                                                                                         700%20Morale,%20Community%20and%20Religious%20Services/1752.1A.pdf
     Has a command member has been designated        appointed=1        1                   0         command health promotion         CO conclusion                                        Required by OPNAV 1720.4 - see
     as the command Suicide Prevention                trained=1                                       committee and Training Officer                                                        http://www.npc.navy.mil/CommandSupport/SuicidePrevention/CommandLeaders/instructions.html
     Coordinator?                                                                                                                                                                           Suggested sources for training may be found at NPC:
                                                                                                                                                                                            http://www.npc.navy.mil/CommandSupport/SuicidePrevention/
                                                                                                                                                                                            and
                                                                                                                                                                                            Navy Leaders' Guide for managing Personnel in Distress at
                                                                                                                                                                                            http://www.nmcphc.med.navy.mil/Healthy_Living/Psychological_Health/Stress_Management/

                                                                                                                                                                                            Training Policy:
                                                                                                                                                                                            http://www.nmcphc.med.navy.mil/downloads/healthyliv/SuicidePrevention/SUICIDE_PREVENTION_OPNAV4AU
                                                                                                                                                                                            G09.pdf
                                                                                                                                                                                            and
                                                                                                                                                                                            http://www.public.navy.mil/bupers-npc/support/SuicidePrevention/

                                                                                                                                                                                            Navy Leaders' Guide for managing Personnel in Distress -
                                                                                                                                                                                            http://www.nmcphc.med.navy.mil/Healthy_Living/Psychological_Health/Stress_Management/
15
     Has your CO submitted a letter endorsing your      yes=1           1                             command health promotion         Letter must include: highlights or benefits of the   OPNAVINST 6100.2, Health Promotion at
     command health promotion program and                                                             committee                        health promotion program; other?                     http://doni.daps.dla.mil/Directives/06000%20Medical%20and%20Dental%20Services/06-
     validating your award data?                                                                                                                                                            100%20General%20Physical%20Fitness/6100.2A.pdf
16                                                                                                                                     CO conclusion
     Were the workforce HRA results and other                           5                             command health promotion         CO Conclusion
     workforce indicators used to focus workplace                                                     committee
     health promotion efforts on the workplace's        yes = 5
     most significant health and wellness issues?
17
     Did at least 25% of the command (military plus 25%-49% = 2         3                             command health promotion         Must have surveyed at least 25% of crew/staff during Use the web-based survey at this site and ask NMCPHC for a report of results:
     civilians not contractors) answer a HEALTH        50%-100% = 3                                   committee                        the report year.                                     http://www.surveymonkey.com/s/2V26BLH
     INTEREST QUESTIONNAIRE (or did 25%                                                                                                                                                     OR see
     participate in other data collection methods i.e.                                                                                 CO Conclusion                                        http://www.nmcphc.med.navy.mil/downloads/healthyliv/resources_products/Health_Interest_Questionnaire.pdf
     focus groups, leader interviews, etc.) for the
     determination of STAFF interest in health and
     wellness topics and offerings?
18
     Did the lead Health Promotion Coordinator          yes=2           2                             command health promotion         CO conclusion                                        - Navy HP Basics Level I Course on NKO:
     or Director successfully complete the                                                            committee                                                                             http://www.nmcphc.med.navy.mil/Healthy_Living/Training/healthpromotion_basics_course.aspx
     online Navy Health Promotion Basics                                                                                               The lead health promotion person for the command     - NMCPHC HP and Wellness Course (3-day):
     Course, Level I on NKO?                                                                                                           must have completed at least the Navy HP Basics      http://www.nmcphc.med.navy.mil/Healthy_Living/Training/healthpromotion_directortraining.aspx
                                                                                                                                       Level I Course on NKO to earn these points.
     (required for Gold Star)                                                                                                          Achievement of this criterion is required for the
                                                                                                                                       GOLD STAR level award.
19
                                                    CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 4 -- as of 4 April 2012

                           A                       B         C        D          E                         F                                             G                                                                                 H
                       Question                 Standard     Max     My      My CATEGORY            Source of Data                      How to calculate / analyze data                                                               Resources
                                                            score   Points       Points

9
     Did at least 50% of MILITARY members        50-59%=1     3                            Fleet and USMC Heath Risk        Fleet and USMC Heath Risk Assessment;                      Fleet and USMC HRA at
     complete the Fleet and USMC HRA during      60-69%=2                                  Assessment; Commanding Officer's Commanding Officer's Report - divide "MILITARY             http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     the report period?                         70-100%=3                                  Report                           Respondents" by your total MILITARY population.

     (required for Gold Star)                                                                                                NOTES:
                                                                                                                             - Achievement of this criterion is required for the
                                                                                                                             GOLD STAR level award.
                                                                                                                             - A score of zero in this criterion results in all zero
10
                                                                                                                             scores for all MILITARY HRA-based criteria in the
                                                                                                                             Blue H
20
     Did at least 25% CIVILIAN members (not     25%-49%=1     3                            Fleet and USMC Heath Risk        Fleet and USMC Heath Risk Assessment;                      Fleet and USMC HRA at
     contractors) complete the Fleet and USMC    50-75%=2                                  Assessment; Commanding Officer's Commanding Officer's Report - divide "CIVILIAN             http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     HRA during the report period?              76-100%=3                                  Report                           Respondents" by your total CIVILIAN population.

                                                                                                                             NOTE - a score of zero in this criterion results in all
                                                                                                                             zero scores for all CIVILIAN HRA-based criteria in
                                                                                                                             the Blue H
21
                                                               CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 5 -- as of 4 April 2012

                            A                                B            C        D             E                         F                                             G                                                                                  H
                        Question                        Standard          Max     My      My CATEGORY               Source of Data                       How to calculate / analyze data                                                                Resources
                                                                         score   Points       Points

9
     Do no more than 38% of your MILITARY               18-38%=4          12                              Fleet and USMC Heath Risk             From the Fleet and USMC Heath Risk Assessment;        Fleet and USMC HRA at
     members engage in binge drinking of alcoholic        points                                          Assessment; Commanding Officer's      Commanding Officer's Report for the MILITARY          http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     beverages?                                          7-17%=8                                          Report; Question # 4 "How many        population, report the "% NOT Healthy" for "Binge
                                                          points                                          alcoholic beverages do you have       Drinking".
                                                         0-6%=12                                          during a typical day when you drink   Note: "not healthy" means typically consuming 5 or
                                                          points                                          alcohol?"                             more drinks per drinking occasion.
                                                                                          Alcohol Abuse                                         Include HRA's completed during the report period.
                                                                                            Prevention                                          Minimum HRA participation required to score any
10
                                                                                                                                                MILITARY points on any HRA-based criteria = 50%
                                                                                                                                                of MILITARY population size.

                                                                                          Maximum score
22                                                                                              =
     Do no more than 38% of your CIVILIAN               18-38%=4          12                   49       Fleet and USMC Heath Risk               From the Fleet and USMC Heath Risk Assessment;        Fleet and USMC HRA at
     members report they engage in binge drinking         points                                        Assessment; Commanding Officers’        Commanding Officer's Report for CIVILIAN (not         http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     of alcoholic beverages?                             7-17%=8                                        Report; Question # 4 "How many          contractors) population, report the "% NOT Healthy"
                                                          points                                        alcoholic beverages do you have         for "Binge Drinking".
                                                         0-6%=12                                        during a typical day when you drink     Note: "not healthy" means typically consuming 5 or
                                                          points                                        alcohol?"                               more drinks per drinking occasion.
                                                                                                                                                Include HRA's completed during the report period.
                                                                                                                                                Minimum HRA participation required to score any
                                                                                                                                                CIVILIAN (not contractor) points on any HRA-based
                                                                                                                                                criteria = 25% of CIVILIAN (not contractor)
                                                                                                                                                population size.

23
     Did the command conduct an awareness level            yes=3           3                              DAPA                                                                                        National Screening Day:
     activity to promote the National Alcohol                                                                                                   CO Conclusion                                         http://www.mentalhealthscreening.org/events/national-alcohol-screening-day.aspx
     Screening Day web-based resources?                                                                                                         May be conducted on any date.
24                                                                                          My points =
     Did the command OFFER members an                  2 points per        8                    0         Command DAPA                          Acceptable training events include:                   Acceptable training events include:
     opportunity to participate in an alcohol abuse    event up to                                                                              1. GMT (such as the DRIVE FOR LIFE interactive        1. Get DRIVE FOR LIFE interactive CD, which may run on ships, from DAVIS at
     awareness event other than the National             max of 4                                                                               CD)                                                   http://www.defenseimagery.mil/index.html - order product # N0443-05-0012.
     Alcohol Screening Day (such as a Drunk and           events                                                                                2. NASD screening ( see                               2. "Save-A-Life Tour", "Safe Ride or Designated Driver Programs" as well as other Best Practices. For Navy
     Drugged Driving lecture, health fair, or health                                                                                            http://www.aanp.org/Health+and+Industry/Alerts/Aler   "best practices" see NADAP website at http://www.npc.navy.mil/NR/rdonlyres/D6FB2C3D-65D6-4257-9699-
     display)?                                                                                                                                  ts+-+2003/NASD-                                       407C0ADD6CB7/0/AlcoholBestPractices.doc.
                                                                                                                                                National+Alcohol+Screening+Day.htm ).                 3. For other activity ideas, visit the nmcphc Health Promotion Toolbox (for June or December) at
                                                                                                                                                3. Other Navy "best practice".                        http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
                                                                                                                                                                                                      4. That Guy resources http://www.thatguy.com/resources/
                                                                                                                                                                                                      5. CSADD substance abuse resources - https://www.cnic.navy.mil/cnrma/Programs/CSADD/index.htm

25
     Have your command DAPA, military                    DAPA = 1          4                              FLTMPS database; Command              Commanding Officer determination of status on 31 NADAP website at
     supervisors, CO and XO completed the                 ADAMS                                           DAPA                                  Dec if:                                          http://www.npc.navy.mil/CommandSupport/NADAP/Education/
     appropriate level of drug and alcohol abuse       facilitator = 1                                                                          - 100% of designated DAPAs completed DAPA
     training?                                            Military                                                                              within 90 days of appointment (1 DAPA per 500
                                                         super.= 1                                                                              members).
                                                       CO & XO = 1                                                                              - At least 1 member has completed ADAMS
                                                                                                                                                facilitator's course.
                                                                                                                                                - 90% of supervisors completed ADAMS at any time
                                                                                                                                                in the past.
                                                                                                                                                - 100% of CO/XO/CMC completed ADAMS Manager
                                                                                                                                                Course at any time in the past.


26
     Have at least 75% of MILITARY members             75-100%=3           4                              Command DAPA or Training Officer FLTMPS database: number who completed training             THE GMT TRAINING MATERIALS FOR THESE LESSONS WILL BE DELIVERED VIA INSTRUCTOR-LED
     completed the current year GMT on alcohol                                                                                             divided by the average annual MILITARY population          TRAINING SESSIONS PROVIDED BY COMMAND LEADERSHIP (OFFICERS, CHIEF PETTY OFFICERS, OR
     abuse prevention during FY2012?                                                                                                       TRAINING COMPLETION SHALL BE                               COMMAND TRAINING TEAMS). TRAINING COORDINATORS SHALL ENSURE THEIR COMMAND TRAINING
                                                                                                                                           DOCUMENTED BY ALL COMMANDS VIA FLEET                       TEAM MEMBERS HAVE SUCCESSFULLY COMPLETED THE COMMAND TRAINING TEAM INDOCTRINATION
                                                                                                                                           TRAINING MANAGEMENT PLANNING SYSTEM                        COURSE CIN: A-050-0001. CORE LESSON MATERIALS, LESSON PLANS AND PRESENTATIONS, SHOULD
                                                                                                                                           (FLTMPS). COMMAND- DELIVERED TRAINING IS                   BE DOWNLOADED BY ACCESSING NAVY KNOWLEDGE ONLINE (NKO) AT
                                                                                                                                           RECORDED IN FLTMPS VIA SUBMISSION OF                       HTTP://WWW.NKO.NAVY.MIL
                                                                                                                                           LEARNING EVENT COMPLETION FORMS.                           CLICK ON THE PERSONAL DEVELOPMENT TAB, THEN GMT LINK (LOCATED ON THE LEFT SIDE OF THE
                                                                                                                                           DETAILED INSTRUCTIONS ON THE FLTMPS                        SCREEN), THEN SELECT THE LESSON FROM THE CORE LESSON CHANNEL.
                                                                                                                                           SUBMISSION PROCESS ARE AVAILABLE ON THE
                                                                                                                                           FLTMPS WEBSITE:
                                                                                                                                           HTTPS://NTMPSWEB.NWPTF.NUWC.NAVY.MIL/FL
                                                                                                                                           TMPS
                                                                                                                                           OR CONTACT THE FLTMPS SUPPORT OFFICE AT
                                                                                                                                           1-866-438-2898 FOR ASSISTANCE




27
     Have your E1 through E4 and O1-O3 members            90%=3            3                              FLTMPS database; Command              Commanding Officer determination of status on 31      NADAP website at
     completed AWARE training at any time in the          80%=2                                           DAPA                                  Dec                                                   http://www.npc.navy.mil/CommandSupport/NADAP/Education/
     past 5 years?                                        70%=1
28
     Have at least 50% of military members aged           50%=3            3                              Training Officer or schools       CETARS database or service training records.              Online at NKO - HEALTH AND WELLNESS - PREVENT
     18-25 attended PREVENT training at any time                                                          coordinator.                      Number of military members aged 18-26 who have
     during their career?                                                                                 CIN: S-501-0150/ Personal         completed PREVENT at any time during their career.        PREVENT website - http://www.preventonline.org/Default.htm
                                                                                                          Responsibility and Values:
                                                                                                          Education and Training (PREVENT)                                                            OPNAV 5350.4 -
                                                                                                          is the Navy's fundamental alcohol                                                           http://doni.daps.dla.mil/Directives/05000%20General%20Management%20Security%20and%20Safety%20Servic
                                                                                                          misuse and drug abuse prevention                                                            es/05-300%20Manpower%20Personnel%20Support/5350.4D.pdf
                                                                                                          course
29
                                                             CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 6 -- as of 4 April 2012

                            A                               B         C        D             E                           F                                               G                                                                                    H
                        Question                         Standard     Max     My      My CATEGORY                Source of Data                          How to calculate / analyze data                                                                 Resources
                                                                     score   Points       Points

9
     Did at least 70% of your MILITARY members            70-79%=1     2                               Fleet and USMC Heath Risk               From the Fleet and USMC Heath Risk Assessment;         Fleet and USMC HRA at
     report consistent seat belt use when driving or     80-100%=2                                     Assessment; Commanding Officer's        Commanding Officer's Report for the MILITARY           http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     riding as a passenger?                                                                            Report; Question # 7. Do you use a      population, report the "% Healthy" for "Seat Belts".
                                                                                          Injury       seat belt when you drive or ride as a   Note: "healthy" means always wears a seat beat.
                                                                                        Prevention     passenger?                              Minimum HRA participation required to score any
                                                                                                                                               MILITARY points on any HRA-based criteria = 50%
                                                                                                                                               of MILITARY population size.
10                                                                                    Maximum score
30                                                                                          =
     Did at least 70% of your CIVILIAN members            70-79%=1     2                   24       Fleet and USMC Heath Risk                  From the Fleet and USMC Heath Risk Assessment;         Fleet and USMC HRA at
     (not contractors) report consistent seat belt use   80-100%=2                                  Assessment; Commanding Officer's           Commanding Officer's Report for the CIVILIAN (not      http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     when driving or riding as a passenger?                                                         Report; Question # 7. Do you use a         contractor) population, report the "% Healthy" for
                                                                                                    seat belt when you drive or ride as a      "Seat Belts".
                                                                                                    passenger?                                 Note: "healthy" means always wears a seat beat.
                                                                                                                                               Minimum HRA participation required to score any
                                                                                                                                               CIVILIAN (not contractor) points on any HRA-based
                                                                                                                                               criteria = 25% of CIVILIAN (not contractor)
                                                                                                                                               population size.

31
     Did the command conduct a SPORTS or                   Yes=6       6                               Command Safety Rep                      CO Conclusion                                          Navy Safety Center:
     RECREATIONAL or PHYSICAL ACTIVITY                                                                                                                                                                http://www.safetycenter.navy.mil/ashore/recreation/index.asp
     SAFETY awareness event (such as a lecture,
32   health fair, or health display)?                                                   My points =
     The command maintains an accurate list of             Yes=6       6                    0          Command Safety Rep                      CO Conclusion                                          NAVADMIN 310/08, 4 Nov 2008 at http://www.npc.navy.mil/NR/rdonlyres/353C30B4-A24D-416E-8C10-
     MILITARY members who are motorcycle                                                                                                                                                              260BB347DA4D/0/NAV08310.txt
     riders; has confirmed all have a valid
     motorcycle driver’s license, registration (for                                                                                                                                                   Resources = http://safetycenter.navy.mil/toolbox/traffic/motorcycles/default.htm
     street bikes), insurance, and have attended the
     required motorcycle safety foundation courses,
     to include refresher training; allows motorcycle
     riders to complete the required training
     courses during duty hours; has appointed a
     motorcycle safety representative; and has
     reported the command’s motorcycle rider
     demographics to their ISIC and to the on-line
     Naval Safety Center motorcycle census.


33
     Did at least 70% of your MILITARY members            70-79%=1     2                               Fleet and USMC Heath Risk               From the Fleet and USMC Heath Risk Assessment; Fleet and USMC HRA at
     report they wear a helmet when they ride a          80-100%=2                                     Assessment; Commanding Officer's        Commanding Officer's Report for the MILITARY         http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     motorcycle, all-terrain vehicle, or bicycle?                                                      Report; Question # 8. How often do      population, report the "% Healthy" for "Vehicle
                                                                                                       you wear a helmet when you ride a       Helmets"
                                                                                                       motorcycle, all-terrain vehicle, or     Note: "healthy" means wears a helmet most or all the
                                                                                                       bicycle?                                time.
                                                                                                                                               Minimum HRA participation required to score any
                                                                                                                                               MILITARY points on any HRA-based criteria = 50%
                                                                                                                                               of MILITARY population size.
34
     Did at least 70% of your CIVILIAN members            70-79%=1     2                               Fleet and USMC Heath Risk               From the Fleet and USMC Heath Risk Assessment; Fleet and USMC HRA at
     (not contractors) report they wear a helmet         80-100%=2                                     Assessment; Commanding Officer's        Commanding Officer's Report for the CIVILIAN (not http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     when they ride a motorcycle, all-terrain vehicle,                                                 Report; Question # 8. How often do      contractor) population, report the "% Healthy" for
     or bicycle?                                                                                       you wear a helmet when you ride a       "Vehicle Helmets"
                                                                                                       motorcycle, all-terrain vehicle, or     Note: "healthy" means wears a helmet most or all the
                                                                                                       bicycle?                                time.
                                                                                                                                               Minimum HRA participation required to score any
                                                                                                                                               CIVILIAN (not contractor) points on any HRA-based
                                                                                                                                               criteria = 25% of CIVILIAN (not contractor)
                                                                                                                                               population size.
35
     Did at least 70% of your MILITARY members            70-79%=1     2                               Fleet and USMC Heath Risk               From the Fleet and USMC Heath Risk Assessment;         Fleet and USMC HRA at
     report they use the safety equipment                80-100%=2                                     Assessment; Commanding Officer's        Commanding Officer's Report for the MILITARY           http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     recommended for a job (e.g., hearing and                                                          Report; Question # 8. How often do      population, report the "% Healthy" for "Safety
     vision protection, respirators, barriers, and                                                     you use the safety equipment            Equipment".
     other safety devices)?                                                                            recommended for your job? (e.g.,        Note: "healthy" means uses safety equipment most
                                                                                                       hearing and vision protection,          or all the time.
                                                                                                       respirators, barriers, and other        Minimum HRA participation required to score any
                                                                                                       safety devices)                         MILITARY points on any HRA-based criteria = 50%
                                                                                                                                               of MILITARY population size.
36
     Did at least 70% of your CIVILIAN members            70-79%=1     2                               Fleet and USMC Heath Risk               From the Fleet and USMC Heath Risk Assessment;         Fleet and USMC HRA at
     (not contractors) report they use the safety        80-100%=2                                     Assessment; Commanding Officer's        Commanding Officer's Report for the CIVILIAN (not      http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     equipment recommended for a job (e.g.,                                                            Report; Question # 8. How often do      contractor) population, report the "% Healthy" for
     hearing and vision protection, respirators,                                                       you use the safety equipment            "Safety Equipment".
     barriers, and other safety devices)?                                                              recommended for your job? (e.g.,        Note: "healthy" means uses safety equipment most
                                                                                                       hearing and vision protection,          or all the time.
                                                                                                       respirators, barriers, and other        Minimum HRA participation required to score any
                                                                                                       safety devices)                         CIVILIAN (not contractor) points on any HRA-based
                                                                                                                                               criteria = 25% of CIVILIAN (not contractor)
                                                                                                                                               population size.
37
                                                             CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 7 -- as of 4 April 2012

                            A                              B          C        D             E                           F                                               G                                                                                H
                        Question                        Standard      Max     My      My CATEGORY                Source of Data                          How to calculate / analyze data                                                              Resources
                                                                     score   Points       Points

9
     Do NOT more than 50% of your MILITARY              0-50%=2        2                               Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;        Fleet and USMC HRA at
     members consume high fat foods every day?                                                         Assessment; Commanding Officer's         Commanding Officer's Report for the MILITARY          http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                                       Report; question # 16. How often do      population, report the "% NOT Healthy" for "High
                                                                                                       you usually eat high-fat foods? (e.g.,   Fat".
                                                                                                       fried foods; high-fat dairy products     Note: "not healthy" means people eat high fat foods
                                                                                         Nutrition     such as butter, cheese, or whole         at least once a day.
                                                                                                       milk; or packaged foods high in          Include HRA's completed during the report period.
                                                                                                       fats)?”.                                 Minimum HRA participation required to score any
10
                                                                                                                                                points HRA-based criteria = 50% of MILITARY
                                                                                                                                                population size.
                                                                                      Maximum score
38                                                                                          =
     Do NOT more than 50% of your CIVILIAN              0-50%=2        2                   24       Fleet and USMC Heath Risk                   From the Fleet and USMC Heath Risk Assessment;        Fleet and USMC HRA at
     members (not contractors) consume high fat                                                     Assessment; Commanding Officer's            Commanding Officer's Report for the CIVILIAN (not     http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     foods every day?                                                                               Report; question # 16. How often do         contractor) population, report the "% NOT Healthy"
                                                                                                    you usually eat high-fat foods? (e.g.,      for "High Fat".
                                                                                                    fried foods; high-fat dairy products        Note: "not healthy" means people eat high fat foods
                                                                                                    such as butter, cheese, or whole            at least once a day.
                                                                                                    milk; or packaged foods high in             Include HRA's completed during the report period.
                                                                                                    fats)?”.                                    Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                                population size.

39
     Do at least 60% of your MILITARY members           70-79% = 1     2                               Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;        Fleet and USMC HRA at
     consume at least 2 cups of fruit each day?        80-100% = 2                                     Assessment; Commanding Officer's         Commanding Officer's Report for the MILITARY          http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                                       Report; question # 17. About how         population, report the "% Healthy" for "Fruit".
                                                                                                       many cups of fruit do you eat each       Include HRA's completed during the report period.
                                                                                                       day?”.                                   Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 50% of MILITARY
                                                                                                                                                population size.


40                                                                                      My points =
     Do at least 60% of your CIVILIAN members           70-79% = 1     2                    0          Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;        Fleet and USMC HRA at
     (not contractors) consume at least 2 cups of      80-100% = 2                                     Assessment; Commanding Officer's         Commanding Officer's Report for the CIVILIAN          http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     fruit each day?                                                                                   Report; question # 17. About how         population, report the "% Healthy" for "Fruit".
                                                                                                       many cups of fruit do you eat each       Include HRA's completed during the report period.
                                                                                                       day?”.                                   Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 50% of CIVILIAN
                                                                                                                                                population size.


41
     Do at least 35% of your MILITARY members           30-39% = 1     2                               Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment; Fleet and USMC HRA at
     consume at least 3 cups of vegetables each        40-100% = 2                                     Assessment; Commanding Officer's         Commanding Officer's Report for the MILITARY       http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     day?                                                                                              Report; question #20 "About how          population, report the "% Healthy" for Vegetables.
                                                                                                       many cups of vegetables do you eat       Note: "healthy" means consuming at 3 cups per day.
                                                                                                       each day?                                Include HRA's completed during the report period.
                                                                                                                                                Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 50% of MILITARY
                                                                                                                                                population size.



42
     Do at least 35% of your CIVILIAN members           30-39% = 1     2                               Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment; Fleet and USMC HRA at
     (not contractors) consume at least 3 cups of      40-100% = 2                                     Assessment; Commanding Officer's         Commanding Officer's Report for the CIVILIAN (not http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     vegetables each day?                                                                              Report; question #20 "About how          contractor) population, report the "% Healthy" for
                                                                                                       many cups of vegetables do you eat       Vegetables.
                                                                                                       each day?                                Note: "healthy" means consuming at 3 cups per day.
                                                                                                                                                Include HRA's completed during the report period.
                                                                                                                                                Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                                population size.


43
     Is the workplace "fully" or "mostly" supportive     Yes=6         6                               NMCPHC "m-NEAT (aka CHOW)                Score from your most recent m-NEAT Survey             m-NEAT (aka CHOW) Worksite survey at
     of healthy eating (based on the overall score                                                     Worksite" Survey                                                                               http://www.nmcphc.med.navy.mil/Healthy_Living/Nutrition/chow.aspx
     from the m-NEAT-Workplace assessment)?
44
     Has your command conducted a nutrition              Yes=6         6                               HP Committee                             CO Conclusion                                         Note: get resources from the Health Promotion Toolbox website at
     awareness event during March or September                                                                                                                                                        http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
     (preferably) or at any other time this year?
45
                                                              CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 8 -- as of 4 April 2012

                            A                               B          C        D            E                           F                                                G                                                                                       H
                        Question                         Standard      Max     My      My CATEGORY               Source of Data                           How to calculate / analyze data                                                                    Resources
                                                                      score   Points       Points

9
     Did at least 97% of your military members pass     97-100%=3       3                              Physical Readiness Information                                                                    PRIMS Report
     the PFA?                                                                             Physical     Management System (PRIMS)
                                                                                          Activity

                                                                                       Maximum score
46                                                                                           =
     Does your command comply with OPNAVINST              yes=3         3                   34         CFL self-reported documentation          CO conclusion                                            OPNAV 6110.1:
10 6110.1 - physical conditioning sessions are                                                                                                                                                           http://www.navyfitness.org/_uploads/docs/6110.1J.pdf?nc=940926155
     incorporated into the workweek?
47
     Do at least 70% of MILITARY members                 70-79%=1       2                              Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;           Fleet and USMC HRA at
     engage in a minimum average of THREE               80-100%=2                                      Assessment; Commanding Officer's         Commanding Officer's Report for the MILITARY             http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     weeks per month of at least 150 minutes (per                                                      Report; Question # 14. On average,       population, report the "% Healthy" for "Aerobic
     week) of moderate-intensity aerobic activity                                                      how many weeks per month do you          Exercise".                                               CDC Physical Activity Website:
     OR at least 75 minutes (per week) of vigorous                                                     engage in a total of at least 150        Note: "healthy" means 3 or more weeks per month.         http://cdc.gov/physicalactivity/everyone/guidellines/adults.html
     intensity aerobic activity?                                                                       minutes of moderate-intensity            Include HRA's completed during the report period.
                                                                                                       aerobic activity                         Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 50% of MILITARY
                                                                                                                                                population size.


48                                                                                      My points =
     Do at least 20% of CIVILIAN members (not             0-19% = 0     2                   0          Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;           Fleet and USMC HRA at
     contractors) engage in a minimum average of         20-39% = 1                                    Assessment; Commanding Officer's         Commanding Officer's Report for the CIVILIAN (not        http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     THREE weeks per month of at least 150              40-100% = 2                                    Report; Question # 14. On average,       contractor) population, report the "% Healthy" for
     minutes (per week) of moderate-intensity                                                          how many weeks per month do you          "Aerobic Exercise".                                      CDC Physical Activity Website:
     aerobic activity OR at least 75 minutes (per                                                      engage in a total of at least 150        Note: "healthy" means 3 or more weeks per month.         http://cdc.gov/physicalactivity/everyone/guidellines/adults.html
     week) of vigorous intensity aerobic activity?                                                     minutes of moderate-intensity            Include HRA's completed during the report period.
                                                                                                       aerobic activity                         Minimum HRA participation required to score any
                                                                                                                                                points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                                population size.


49
     Do at least 70% of MILITARY members                 70-79%=1       2                              Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;           Fleet and USMC HRA at
     engage in at least TWO days per week of            80-100%=2                                      Assessment; Commanding Officer's         Commanding Officer's Report for the MILITARY             http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     muscle strengthening activities that work all                                                     Report; Question # 15. On average,       population, report the "% Healthy" for "Muscular
     muscle groups?                                                                                    how many days per week do you            Exercise".                                               CDC Physical Activity Website
                                                                                                       engage in muscle strengthening           Note: "healthy" means at least 2 days per week.          http://cdc.gov/physicalactivity/everyone/guidellines/adults.html
                                                                                                       activities that work all muscle groups   Include HRA's completed during the report period.
                                                                                                       (legs, hips, back, abdomen, chest,       Minimum HRA participation required to score any
                                                                                                       shoulders and arms)?                     points HRA-based criteria = 50% of MILITARY
                                                                                                                                                population size.

50
     Do at least 20% of CIVILIAN members (not             0-19% = 0     2                              Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;           Fleet and USMC HRA at
     contractors) engage in at least TWO days per        20-39% = 1                                    Assessment; Commanding Officer's         Commanding Officer's Report for the CIVILIAN (not        http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     week of muscle strengthening activities that       40-100% = 2                                    Report; Question # 15. On average,       contractor) population, report the "% Healthy" for
     work all muscle groups?                                                                           how many days per week do you            "Muscular Exercise".                                     CDC Physical Activity Website
                                                                                                       engage in muscle strengthening           Note: "healthy" means at least 2 days per week.          http://cdc.gov/physicalactivity/everyone/guidellines/adults.html
                                                                                                       activities that work all muscle groups   Include HRA's completed during the report period.
                                                                                                       (legs, hips, back, abdomen, chest,       Minimum HRA participation required to score any
                                                                                                       shoulders and arms)?                     points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                                population size.

51
     Has at least 1 Command Fitness Leader (CFL)          yes=3         3                              Official CFL training Course             CFL self-reported                                        CFL website at
     completed the approved CFL training course?                                                       Attendance Report                                                                                 http://navyfitness.org/fitness/cfl_information/
52
     Has at least one Command Fitness Leader              yes=1         1                              CFL: Certificate of Completion           Attendance in the complete NOFFS “Train the              Points of Contact / Location of NOFFS Courses offered through MWR:
     (CFL) completed the Navy Operational Fitness                                                                                               Trainer” Course. (Course is 4 – 6 hours in length).      http://navyfitness.org/fitness/noffs/locate_trainer/
     and Fueling System (NOFFS) Train the Trainer                                                                                                                                                        Resources: NOFFS Website: http://navyfitness.org/fitness/noffs/
     Course offered at MWR locations?
53
     Has your command participated in a minimum           yes=3         3                              CFL                                      CO conlsion
     of 3 command Navy Operational Fitness and
     Fueling System (NOFFS) LEVEL 1 physical
     conditioning sessions? (NOTE: Requirement
     for the CFL to achieve the requirement listed in
     the above question – must attend the train the
     trainer class first before
     presenting/demonstrating NOFFS to their
     command?
54
     Is a link to the Navy Operational Fitness and        yes=1         1                              webmaster                                CO conlsion                                              http://navyfitness.org/fitness/noffs/
     Fueling System (NOFFS) Resource page
     accessible on the command public
55   homepage?
     Have all of your assigned CFLs and ACFLs             yes=3         3                              CFL self-reported documentation of       CFL self-reported documentation of date, location,
     participated in a minimum of 1 class annually                                                     date, location, class title, and         class title, and instructor name during the report FY.   - CNIC Fitness/Athletic Training Conference
     in physical readiness related topics (e.g.,                                                       instructor name of classes               Any CFL attendance of educational classes of a           - CNIC / MWR Regional CFL courses
     physical fitness, activity, sports injury                                                         completed during the report FY.          topic related to physical activity (e.g., physical       - AFPH Conference
     prevention, body composition management,                                                                                                   fitness, activity, sports injury prevention, body        - NMCPHC HP Director Course
     nutrition) OTHER THAN NOFFS?                                                                                                               composition management, nutrition). See                  - HP at the Deckplate Course
                                                                                                                                                "Resources".                                             - Regional CNIC/MWR CFL Training Course
                                                                                                                                                Include only training conducted during the report
                                                                                                                                                period.
56
                                                           CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 9 -- as of 4 April 2012

                            A                             B        C        D           E                             F                                            G                                                                                         H
                       Question                        Standard    Max     My      My CATEGORY              Source of Data                         How to calculate / analyze data                                                                   Resources
                                                                  score   Points       Points

9
     Did your command conduct or sponsor a              yes=3       3                             CFL self-reported                      Minimal attributes of the "event":                       Resources:
     physical fitness event OTHER THAN NOFFs or                                       Physical                                            - Faithful use of national models such as Presidents    - Health Promotion Toolbox website at
     PRT?                                                                             Activity                                           Challenge, Healthier FEDs Walk, CDC StairWELL            http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
                                                                                    (continued)                                           - Locally-designed event which is accessible to all     - Healthier Feds http://www.healthierfeds.opm.gov/
                                                                                                                                         command members; encourages and enables                  - President's Physical Fitness challenge www.presidentschallenge.com
                                                                                                                                         increased physical activity either (a) on an on-going
                                                                                                                                         basis such as a 4-week exercise challenge or (b) a       For more ideas contact your local fitness coordinator at
                                                                                                                                         series of at least 5 one-time special events such as a   http://navyfitness.org/fitness/noffs/locate_trainer/
10
                                                                                                                                         command 5K run, plus a command fitness rodeo,
                                                                                                                                         plus a command power lift competition, etc.


57
     Did your command conduct a physical fitness        yes=3       3                             Physical Fitness activity conducted.   Minimal attributes of the "activity" is that the         Health Promotion Toolbox website at
     awareness activity by setting up a display,                                                  CO conclusion [yes or no]              participants are provided information which enables      http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
     distributing educational handouts, or                                                                                               improvements in knowledge, skills or attitudes
     conducting a physical activity event during                                                                                         regarding scientifically sound physical fitness.         NOFFS resources:
     Physical Fitness Month of May (preferably) or                                                                                                                                                http://navyfitness.org/fitness/noffs/
     any other time?                                                                                                                     CO Conclusion
58
     Did at least one "Crew" within the command         yes=3       3                             A least one "Crew" participated in  Registered Crews are listed at                   Note: get resources from the crEWS Into Shape website at
     participate in the annual "Crews Into Shape" in                                              the annual "Crews Into Shape"       http://www.nmcphc.med.navy.mil/hp/crews_into_sha http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/Crews_Into_Shape/crews_info.aspx
     March (preferably) or at any time during the                                                 during March (preferably) or during pe/index.htm
     report period?                                                                               any time of the year. CO conclusion
59                                                                                                [yes or no]
                                                           CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 10 -- as of 4 April 2012

                            A                             B         C        D             E                              F                                          G                                                                               H
                       Question                        Standard     Max     My      My CATEGORY                 Source of Data                       How to calculate / analyze data                                                            Resources
                                                                   score   Points       Points

9
     Do at least 80% of MILITARY members avoid          80-89%=1     2                               Fleet and USMC Heath Risk         From the Fleet and USMC Heath Risk Assessment;           Fleet and USMC HRA at:
                                                                                     Sexual Health
     high risk sexual behavior?                        90-100%=2                                     Assessment; Commanding Officers’  Commanding Officer's Report for the MILITARY             http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                                     Report; question #13 “In the past 12
                                                                                                                                       population, report the "% Healthy" for condom use.
                                                                                                     months, how often did you or your Note: "Healthy" means "not sexually active" or "in a
                                                                                                     partner(s) use a condom when you  long-term monogamous relationship" or "always use
                                                                                                     had sex?”.                        condoms".
60                                                                                  Maximum score                                      Include HRA's completed during the report period.
     Do at least 80% of CIVILIAN members (not           80-89%=1     2                   23       Fleet and USMC Heath Risk            From the Fleet and USMC Heath Risk Assessment;           Fleet and USMC HRA at:
10 contractors) avoid high risk sexual behavior?       90-100%=2                                  Assessment; Commanding Officer's Commanding Officer's Report for the CIVILIAN (not            http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                                  Report; question #13 “In the past 12 contractor) population, report the "% Healthy" for
                                                                                                  months, how often did you or your    condom use.
                                                                                                  partner(s) use a condom when you Note: "Healthy" means "not sexually active" or "in a
                                                                                                  had sex?”.                           long-term monogamous relationship" or "always use
                                                                                                                                       condoms".
                                                                                                                                       Include HRA's completed during the report period.
                                                                                                                                       Minimum HRA participation required to score any
                                                                                                                                       points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                       population size.

61
     Do at least 80% of MILITARY members score          80-89%=1     2                               Fleet and USMC Heath Risk              Include HRA's completed during the report period.   Fleet and USMC HRA at:
     as “healthy” on the HRA for Family Planning?      90-100%=2                                     Assessment; Commanding Officer's       Minimum HRA participation required to score any     http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                                     Report; question #22 “Regarding        points HRA-based criteria = 50% of MILITARY
                                                                                                     your actions related to possible       population size.
62                                                                                                   pregnancy...”
     Do at least 80% of CIVILIAN members (not           80-89%=1     2                               Fleet and USMC Heath Risk              Include HRA's completed during the report period.   Fleet and USMC HRA at:
     contractors) score as “healthy” on the HRA for    90-100%=2                                     Assessment; Commanding Officer's       Minimum HRA participation required to score any     http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     Family Planning?                                                                                Report; question #22 “Regarding        points HRA-based criteria = 25% of CIVILIAN
                                                                                                     your actions related to possible       population size.
63                                                                                                   pregnancy...”
     Have at least 50% of your MILITARY members          Yes=3       3                               Lecture or film sign-in logs.                                                              Get all the NMCPHC sexual health materials by ordering the SHARP Toolbox DVD from
     viewed the Navy film “Contraception” or was                                                                                                                                                sharp@nehc.mar.med.navy.mil
     this film shown on ship-TV? - OR - did the
     command conduct at least one iteration of
     NMCPHC's "For Ladies Only" - OR - one
     iteration of NMCPHC's "Reproductive Health"?
64                                                                                    My points =
     Have at least 50% of your MILITARY members          Yes=3       3                               Film sign-in logs.                     Percent of MILITARY members that viewed the film.   Get all the NMCPHC sexual health materials by ordering the SHARP Toolbox DVD from
     viewed the Navy film “HIV and Me” or was this                                                                                                                                              sharp@nehc.mar.med.navy.mil
65   film shown on ship-TV?
     Have at least 75% of MILITARY members             75-100%=3     3                     0         Command DAPA or Training Officer FLTMPS database: number who completed training            Get training videos and materials at:
     completed the current year GMT on sexual                                                                                         divided by the average annual MILITARY population         http://www.public.navy.mil/bupers-npc/support/readiness/Pages/SexualAssault.aspx
     assault prevention and sexual harassment                                                                                         TRAINING COMPLETION SHALL BE
     grievance procedures during FY2012?                                                                                              DOCUMENTED BY ALL COMMANDS VIA FLEET                      THE GMT TRAINING MATERIALS FOR THESE LESSONS WILL BE DELIVERED VIA INSTRUCTOR-LED
                                                                                                                                      TRAINING MANAGEMENT PLANNING SYSTEM                       TRAINING SESSIONS PROVIDED BY COMMAND LEADERSHIP (OFFICERS, CHIEF PETTY OFFICERS, OR
                                                                                                                                      (FLTMPS). COMMAND- DELIVERED TRAINING IS                  COMMAND TRAINING TEAMS). TRAINING COORDINATORS SHALL ENSURE THEIR COMMAND TRAINING
                                                                                                                                      RECORDED IN FLTMPS VIA SUBMISSION OF                      TEAM MEMBERS HAVE SUCCESSFULLY COMPLETED THE COMMAND TRAINING TEAM INDOCTRINATION
                                                                                                                                      LEARNING EVENT COMPLETION FORMS.                          COURSE CIN: A-050-0001. CORE LESSON MATERIALS, LESSON PLANS AND PRESENTATIONS, SHOULD
                                                                                                                                      DETAILED INSTRUCTIONS ON THE FLTMPS                       BE DOWNLOADED BY ACCESSING NAVY KNOWLEDGE ONLINE (NKO) AT
                                                                                                                                      SUBMISSION PROCESS ARE AVAILABLE ON THE                   HTTP://WWW.NKO.NAVY.MIL
                                                                                                                                      FLTMPS WEBSITE:                                           CLICK ON THE PERSONAL DEVELOPMENT TAB, THEN GMT LINK (LOCATED ON THE LEFT SIDE OF THE
                                                                                                                                      HTTPS://NTMPSWEB.NWPTF.NUWC.NAVY.MIL/FL                   SCREEN), THEN SELECT THE LESSON FROM THE CORE LESSON CHANNEL.
                                                                                                                                      TMPS
                                                                                                                                      OR CONTACT THE FLTMPS SUPPORT OFFICE AT
                                                                                                                                      1-866-438-2898 FOR ASSISTANCE



66
     Do your MILITARY members have easy access           Yes=3       3                               CO conclusion                          MILITARY embers are able to easily and privately    For guidance see "Targeted Condom Access for Disease and Pregnancy Prevention at
     to condoms?                                                                                                                            access male latex condoms at times and places that http://www.nmcphc.med.navy.mil/downloads/sexual_health/condomaccess.pdf
                                                                                                                                            increase the likelihood of condom use vs. no condom
                                                                                                                                            use.
                                                                                                                                            Based on policies and practices in place at the end
                                                                                                                                            of the report period.
67
     OTHER THAN any other critrion listed above -        Yes=3       3                               CO conclusion                                                                              Note: get resources from the Health Promotion Toolbox website at
     Has your command conducted a sexual health                                                                                                                                                 http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
     awareness event during April (preferably) or at
     any other time this year?
68
                                                             CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 11 -- as of 4 April 2012

                             A                              B          C        D             E                          F                                             G                                                                                      H
                        Question                         Standard      Max     My      My CATEGORY                Source of Data                        How to calculate / analyze data                                                                 Resources
                                                                      score   Points       Points

9
     Are at least 45% of MILITARY members NOT            45-55%=5      10                            Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;         Fleet and USMC HRA
     under too much stress?                             55-100%=10                                   Assessment; Commanding Officer's         Commanding Officer's Report for the MILITARY           http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                       Psychological
                                                                                                     Report; question #11 "How often do       population, report the "% Healthy" for "Work Stress"
                                                                                          Health
                                                                                                     you feel that your work situation puts   Note: "healthy" means rarely or never under "too
                                                                                                     you under too much stress?"              much stress".
                                                                                                                                              Include HRA's completed during the report period.
                                                                                                                                              Minimum HRA participation required to score any
                                                                                                                                              points HRA-based criteria = 50% of MILITARY
10
                                                                                                                                              population size.

                                                                                       Maximum score
69                                                                                           =
     Are at least 45% of CIVILIAN members (not           45-55%=5      10                   56       Fleet and USMC Heath Risk                From the Fleet and USMC Heath Risk Assessment;         Fleet and USMC HRA
     contractors) NOT under too much stress?            55-100%=10                                   Assessment; Commanding Officer's         Commanding Officer's Report for the CIVILIAN (not      http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                                                                     Report; question #11 "How often do       contractor) population, report the "% Healthy" for
                                                                                                     you feel that your work situation puts   "Work Stress"
                                                                                                     you under too much stress?" HRA          Note: "healthy" means rarely or never under "too
                                                                                                     question 21; percent healthy.            much stress".
                                                                                                                                              Include HRA's completed during the report period.
                                                                                                                                              Minimum HRA participation required to score any
                                                                                                                                              points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                              population size.

70
     Did at least 60% of MILITARY members report         60-69% = 2     3                               Fleet and USMC Heath Risk             From the Fleet and USMC Heath Risk Assessment;
     they get enough restful sleep to function well     70-100% = 3                                     Assessment; Commanding Officer's      Commanding Officer's Report for the MILITARY
     on the job and in their personal life?                                                             Report; HRA question 21; percent      population, report the "% Healthy" for "Sleep"
                                                                                                        healthy.                              Include HRA's completed during the report period.
                                                                                                                                              Minimum HRA participation required to score any
                                                                                                                                              points HRA-based criteria = 50% of MILITARY
                                                                                                                                              population size.


71
     Did at least 60% of CIVILIAN members report         60-69% = 2     3                               Fleet and USMC Heath Risk             From the Fleet and USMC Heath Risk Assessment;
     they get enough restful sleep to function well     70-100% = 3                                     Assessment; Commanding Officer's      Commanding Officer's Report for the CIVILIAN (not
     on the job and in their personal life?                                                             Report; HRA question 21; percent      contractor) population, report the "% Healthy" for
                                                                                                        healthy.                              "Sleep"
                                                                                                                                              Include HRA's completed during the report period.
                                                                                                                                              Minimum HRA participation required to score any
                                                                                                                                              points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                              population size.

72
     Did your command conduct a sleep-                    Yes=3         3                                command health promotion             CO conclusion                                          http://www.nmcphc.med.navy.mil/Healthy_Living/Psychological_Health/Stress_Management/sleep.aspx
     deprivation awareness activity by setting up a                                                     committee
     display/posters or distributing educational fact
73   sheets?
     Did the command conduct an EDUCATIONAL               Yes=3         3                                command health promotion             CO conclusion                                          http://www.nmcphc.med.navy.mil/Healthy_Living/Psychological_Health/Stress_Management/sleep.aspx
     event on sleep? (such as a lecture by an                                                           committee
74 outside expert)?
     Did your command conduct a stress                    Yes=3         3                                command health promotion             CO conclusion                                          Note: get resources from the Health Promotion Toolbox website at
     management all-hands lecture (or set up a                                                          committee                                                                                    http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
     display with a continuous-running film, etc)
     during October (preferably) or at any other                                                                                                                                                     or get GMT materials from your Training Petty Officer.
75   time this year?                                                                     My points =
     Did the command conduct an awareness level           Yes=3         3                    0           command health promotion             CO Conclusion.                                         National Screening Day:
     activity to promote the National Depression                                                        committee                             May be conducted on any date.                          http://www.mentalhealthscreening.org/events/national-depression-screening-day.aspx
     Screening Day web-based resources?
76
     Did at least 75% of MILITARY members               75-100%=3       3                               Command DAPA or Training Officer FLTMPS database: number who completed                       THE GMT TRAINING MATERIALS FOR THESE LESSONS WILL BE DELIVERED VIA INSTRUCTOR-
     complete the current year GMT on Operational                                                                                             training divided by the average annual                 LED TRAINING SESSIONS PROVIDED BY COMMAND LEADERSHIP (OFFICERS, CHIEF PETTY
     Stress Control during FY2012?                                                                                                            MILITARY population                                    OFFICERS, OR COMMAND TRAINING TEAMS). TRAINING COORDINATORS SHALL ENSURE
                                                                                                                                              TRAINING COMPLETION SHALL BE                           THEIR COMMAND TRAINING TEAM MEMBERS HAVE SUCCESSFULLY COMPLETED THE
                                                                                                                                              DOCUMENTED BY ALL COMMANDS VIA                         COMMAND TRAINING TEAM INDOCTRINATION COURSE CIN: A-050-0001. CORE LESSON
                                                                                                                                              FLEET TRAINING MANAGEMENT PLANNING                     MATERIALS, LESSON PLANS AND PRESENTATIONS, SHOULD BE DOWNLOADED BY
                                                                                                                                              SYSTEM (FLTMPS). COMMAND- DELIVERED                    ACCESSING NAVY KNOWLEDGE ONLINE (NKO) AT
                                                                                                                                              TRAINING IS RECORDED IN FLTMPS VIA                     HTTP://WWW.NKO.NAVY.MIL
                                                                                                                                              SUBMISSION OF LEARNING EVENT                           CLICK ON THE PERSONAL DEVELOPMENT TAB, THEN GMT LINK (LOCATED ON THE LEFT SIDE
                                                                                                                                              COMPLETION FORMS. DETAILED                             OF THE SCREEN), THEN SELECT THE LESSON FROM THE CORE LESSON CHANNEL.
                                                                                                                                              INSTRUCTIONS ON THE FLTMPS
                                                                                                                                              SUBMISSION PROCESS ARE AVAILABLE ON
                                                                                                                                              THE FLTMPS WEBSITE:
                                                                                                                                              HTTPS://NTMPSWEB.NWPTF.NUWC.NAVY.MI
                                                                                                                                              L/FLTMPS
                                                                                                                                              OR CONTACT THE FLTMPS SUPPORT
                                                                                                                                              OFFICE AT 1-866-438-2898 FOR ASSISTANCE


77
     Leadership and command climate are                   Yes=3         3                               CO                                    Unit leader has specifically communicated this
     supportive of members in need of helping                                                                                                 command philosophy to all unit members verbally or
     services, and members are encouraged to                                                                                                  in writing
     seek needed assistance from helping services
     such as mental health, family services,
     chaplain, stress management, etc
78
                                                           CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 12 -- as of 4 April 2012

                           A                              B         C        D           E                            F                                  G                                                                              H
                       Question                        Standard     Max     My      My CATEGORY               Source of Data             How to calculate / analyze data                                                           Resources
                                                                   score   Points       Points

9
     Helping resources for psychological health are      Yes=3       3                               command health promotion   CO conclusion.                                    Resources for materials include Fleet Family Support Centers, MCCS, Military One Source, Tricare, Mental
     advertised and promoted at the command                                                         committee                                                                     Health/SARP
                                                                                    Psychological                               Materials are advertised in venues such as unit
                                                                                       Health                                   indoctrination briefings, pre/post deployment
79                                                                                   (continued)                                briefings, POD notes, leadership messages, etc
     Command has developed a command suicide             Yes=3       3                               command health promotion   CO conclusion                                     OPNAV 1720.4: http://www.npc.navy.mil/NR/rdonlyres/0B1C9806-7404-47B7-B0ED-
     prevention and crisis intervention plan                                                        committee                                                                     7C64CD8EB5F1/22921/OPNAVINST17204.pdf
10
80
     Did at least 75% of your MILITARY members         75-100%=3     3                              Lecture sign-in logs.       FLTMPS database: number who completed             THE GMT TRAINING MATERIALS FOR THESE LESSONS WILL BE DELIVERED VIA INSTRUCTOR-
     complete the current suicide prevention GMT                                                                                training divided by the average annual            LED TRAINING SESSIONS PROVIDED BY COMMAND LEADERSHIP (OFFICERS, CHIEF PETTY
     during the FY2012?                                                                                                         MILITARY population                               OFFICERS, OR COMMAND TRAINING TEAMS). TRAINING COORDINATORS SHALL ENSURE
                                                                                                                                TRAINING COMPLETION SHALL BE                      THEIR COMMAND TRAINING TEAM MEMBERS HAVE SUCCESSFULLY COMPLETED THE
                                                                                                                                DOCUMENTED BY ALL COMMANDS VIA                    COMMAND TRAINING TEAM INDOCTRINATION COURSE CIN: A-050-0001. CORE LESSON
                                                                                                                                FLEET TRAINING MANAGEMENT PLANNING                MATERIALS, LESSON PLANS AND PRESENTATIONS, SHOULD BE DOWNLOADED BY
                                                                                                                                SYSTEM (FLTMPS). COMMAND- DELIVERED               ACCESSING NAVY KNOWLEDGE ONLINE (NKO) AT
                                                                                                                                TRAINING IS RECORDED IN FLTMPS VIA                HTTP://WWW.NKO.NAVY.MIL
                                                                                                                                SUBMISSION OF LEARNING EVENT                      CLICK ON THE PERSONAL DEVELOPMENT TAB, THEN GMT LINK (LOCATED ON THE LEFT SIDE
                                                                                                                                COMPLETION FORMS. DETAILED                        OF THE SCREEN), THEN SELECT THE LESSON FROM THE CORE LESSON CHANNEL.
                                                                                                                                INSTRUCTIONS ON THE FLTMPS
                                                                                                                                SUBMISSION PROCESS ARE AVAILABLE ON
                                                                                                                                THE FLTMPS WEBSITE:
                                                                                                                                HTTPS://NTMPSWEB.NWPTF.NUWC.NAVY.MI
                                                                                                                                L/FLTMPS
                                                                                                                                OR CONTACT THE FLTMPS SUPPORT
                                                                                                                                OFFICE AT 1-866-438-2898 FOR ASSISTANCE


81
     Did your command conduct a suicide all-hands        Yes=3       3                               command health promotion   CO conclusion                                     Note: get resources from the Health Promotion Toolbox website at
     lecture (or set up a display with a continuous-                                                committee                                                                     http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
     running film, etc) during October (preferably)
     or at any other time such as Command Indoc ,
     Stand down, Pre and Post Deployments?
82
                                                          CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 13 -- as of 4 April 2012

                             A                           B         C        D            E                        F                                          G                                                                                 H
                        Question                      Standard     Max     My      My CATEGORY             Source of Data                     How to calculate / analyze data                                                              Resources
                                                                  score   Points       Points

9
     Do fewer than 35% of your MILITARY               25-35%=1      3                             Fleet and USMC Heath Risk          From the Fleet and USMC Heath Risk Assessment;       Fleet and USMC HRA at
     members report smoking cigarettes, cigars or     13-24%=2                      Tobacco Use Assessment; Commanding Officer's     Commanding Officer's Report for the MILITARY         http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     pipes?                                            0-12%=3                     Prevention/Ces Report; question #2                population, report the "% NOT Healthy" for
83                                                                                     sation                                        "smoking".
     Do fewer than 35% of your CIVILIAN members       25-35%=1      3                    27       Fleet and USMC Heath Risk          From "not healthy" USMC Heath Risk some, most
                                                                                                                                     Note: the Fleet and means smoking on Assessment;or   Fleet and USMC HRA at
     (not contractors) report smoking cigarettes,     13-24%=2                                    Assessment; Commanding Officer's   Commanding Officer's Report for the CIVILIAN (not    http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     cigars or pipes?                                  0-12%=3                                    Report; question #2                contractor) population, report the "% NOT Healthy"
10                                                                                                                                   for "smoking".
                                                                                                                                     Note: "not healthy" means smoking on some, most or
                                                                                                                                     every day.
                                                                                                                                     Include HRA's completed during the report period.
                                                                                                                                     Minimum HRA participation required to score any
                                                                                                                                     points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                     population size.

84
     Command grounds are tobacco free by written       yes =3       3                             command health promotion           Response may be YES; NO; or N/A-We are not able
     policy (where the command has such authority                                                 committee                          to ban tobacco use on the command grounds and
     over their grounds)                                                                                                             have explained this in our “Blue H Application CO
                                                                                                                                     Letter”. Please describe or attach the command
85                                                                                  My points =                                      policy to the "CO Letter"
     Do fewer than 13% of your MILITARY               12-13%=1      3                   0         Fleet and USMC Heath Risk        From the Fleet and USMC Heath Risk Assessment; Fleet and USMC HRA at
     members report smokeless tobacco use?              11%=2                                     Assessment; Commanding Officer's Commanding Officer's Report for the MILITARY       http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
                                                       0-10%=3                                    Report; question #2              population, report the "% NOT Healthy" for
                                                                                                                                   "smokeless tobacco".
                                                                                                                                   Note: "not healthy" means use of smokeless tobacco
                                                                                                                                   on some, most or every day.
                                                                                                                                   Include HRA's completed during the report period.
                                                                                                                                   Minimum HRA participation required to score any
                                                                                                                                   points HRA-based criteria = 50% of MILITARY
                                                                                                                                   population size.

86
     Do fewer than 13% of your CIVILIAN members       12-13%=1      3                             Fleet and USMC Heath Risk        From the Fleet and USMC Heath Risk Assessment; Fleet and USMC HRA at
     (not contractors) report smokeless tobacco         11%=2                                     Assessment; Commanding Officer's Commanding Officer's Report for the CIVILIAN (not http://www.nmcphc.med.navy.mil/Healthy_Living/General/healthriskassessment.aspx
     use?                                              0-10%=3                                    Report; question #2              contractor) population, report the "% NOT Healthy"
                                                                                                                                   for "smokeless tobacco".
                                                                                                                                   Note: "not healthy" means use of smokeless tobacco
                                                                                                                                   on some, most or every day.
                                                                                                                                   Include HRA's completed during the report period.
                                                                                                                                   Minimum HRA participation required to score any
                                                                                                                                   points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                   population size.

87
     Are the CO/OIC, XO, CMC, HP Coordinator           Yes=3        3                             command health promotion           CO Conclusion
88 and CFL tobacco free?                                                                          committee
     Did your command conduct a tobacco use           2, 4 or 6     6                             command health promotion           CO Conclusion                                      Great American Smokeout - http://www.quitsmoking.com/kopykit/reports/smokeout.htm
     cessation/prevention awareness activity by        points                                     committee                                                                             Lose the Chew Week/Great American Spit-out Day - http://www.nstep.org/
     setting up a display, distributing educational                                                                                  Great American Smoke-out = 2 points; Great         WHO No Tobacco Day - http://www.who.int/tobacco/wntd/2008/en/index.html
     handouts, or conducting a tobacco use                                                                                           American Spit-out = 2 points; Make Me Proud or any NMCPHC HP Toolbox - Tobacco Month -
     cessation/prevention awareness events                                                                                           other event = 2 points                             http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
89
     Are self-help tobacco quitting resources          Yes=3        3                             command health promotion           CO Conclusion                                        http://www.nmcphc.med.navy.mil/Healthy_Living/ (NMCPHC site)
     offered in this command?                                                                     committee                                                                               http://www.ucanquit2.org/ (DoD site)
                                                                                                                                                                                          http://www.smokefree.gov/ (NCI site)
                                                                                                                                                                                          http://www.cdc.gov/tobacco/quit_smoking/how_to_quit/quittip.htm (CDC site)
90                                                                                                                                                                                        National Help Line 1-800-QUIT NOW
                                                             CY 2012 Navy Surgeon General's Health and Wellness Award Criteria -- Fleet Criteria Set -- page 14 -- as of 4 April 2012

                            A                               B          C        D             E                           F                                           G                                                                               H
                        Question                         Standard      Max     My      My CATEGORY                 Source of Data                     How to calculate / analyze data                                                             Resources
                                                                      score   Points       Points

9
     Are at least 70% of military members within         70-79%=1       3                                 PRIMS                              Unit administrative reports are used to compute        PRIMS Report
     Navy standards for body composition?                80-89%=2                         Weight                                             percentage of members who fail to meet standards.
                                                        90-100%=3                       Management                                           Include PRIMS reporting from the most recent
                                                                                                                                             reporting cycle only, unless unavailable due to
                                                                                                                                             deployment, in which case the prior report period
                                                                                       Maximum score                                         PRIMS data will be used.
91                                                                                           =
10 Did your command conduct a weight                      yes=3         3                    12           CFL                                CO Conclusion                                          Note: get resources from the Health Promotion Toolbox website at
     management awareness activity by setting up                                                                                                                                                    http://www.nmcphc.med.navy.mil/Healthy_Living/Resources_Products/HP_Toolbox/hp_toolbox.aspx
     a display, distributing educational handouts, or
     conducting a physical activity event during
     Physical Fitness Month of January (preferably)
92   or any other time?
     Do civilian staff report a healthy body mass         0-29% = 0     3                                 Fleet and USMC Heath Risk        From the Fleet and USMC Heath Risk Assessment;
     index?                                              30-39% = 1                                       Assessment; Commanding Officer's Commanding Officer's Report for the CIVILIAN (not
                                                         40-49% = 2                                       Report                           contractor) population, report the "% NOT Healthy"
                                                        50-100% = 3                                                                        for BMI

                                                                                                                                             NOTE – all reserve commands will take full points as
                                                                                                                                             “n/a” because they can’t not produce HRA CO
                                                                                                                                             Reports for civilian members

                                                                                                                                             Include HRA's completed during the report period.
                                                                                                                                             Minimum HRA participation required to score any
                                                                                                                                             points HRA-based criteria = 25% of CIVILIAN
                                                                                                                                             population size.

93
     Does your workplace offer a weight                   yes=3         3                     0           CFL                                CO Conclusion                                         NMCPHC Weight Management- SHIPSHAPE: http://www.nmcphc.med.navy.mil/Healthy_Living/
     management intervention to overweight                                                                                                   Note: Civilian employees who so choose may access
     members, either at the command or by                                                                                                    “Healthy Weighs with Health Net”, an on-line
     referral, e.g., ShipShape or individualized                                                                                             resource. To claim this program as your “referral”
     counseling by a physician, registered dietician,                                                                                        source for civilian workers, the command must have
     or certified health educator that consists of                                                                                           in place a process to reasonably assure that civilian
     multiple encounters to support weight loss                                                                                              employees have been made aware of the program,
     planning, implementation, and maintenance?                                                                                              how to access it, and the command must permit
                                                                                                                                             them to utilize this resource during normal duty
                                                                                                                                             hours. See
                                                                                                                                             https://www.hnfs.net/bene/healthyliving/Healthy+Wei
                                                                                                                                             ghs+About+the+Program.htm.
                                                                                                                                             Military One Source is an acceptable source for
                                                                                                                                             Reservists

94

                                                                                          % of total
                       FINAL SCORE                                    Max.     My      available points
95                                                                    score   Points        earned


                                                                      282       0         0.00%
96

				
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